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See a sample rate comparisonCPT 87652 Fee Schedule
Medicare rates as of January 2026
CPT 87652 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Quantification Infe Ctious Agent Detection By Nucleic Acid (Dna Or Rna)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.76 national lab fee schedule rate (2026) · View Medicare rates for 87652 |
| Medicaid Fee Schedule | $38.40 median of the 8 states in the free preview · View Medicaid rates for 87652 |
National average reimbursement for CPT 87652 by major payers:
$39.72
BCBS / Anthem
$30.13
UnitedHealthcare
$43.59
Aetna
$60.44
Cigna
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CPT 87652
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$91.87Published rateChristopher Raio
Mercy Medical Center
$57.22Published rateChristopher Raio
St Francis Hospital
$49.61Published ratePrisma Health-Upstate, Prisma Health Transplant Center
Prisma Health - Upstate
$37.58Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$22.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87652 vs. Other Microbiology Procedures Codes
The table lists codes related to 87652. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87534-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Hiv-1 Direct Probe Technique Infectious Ag Ent Detection By Nucleic Acid (Dna Or Rna) |
| 87650-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Direct Probe Techniq Ue Infectious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87651-CPT | Low | Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Streptococcus, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Streptococcus |
| 87652-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Quantification Infe Ctious Agent Detection By Nucleic Acid (Dna Or Rna) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87652 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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